{
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"OrgName": "ERIC J. THOMPSON D.C. P.A.",
"LastName": null,
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"FirstLineMailingAddress": "15301 W 87TH ST",
"SecondLineMailingAddress": "SUITE B20",
"MailingAddressCityName": "LENEXA",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66219-1401",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "913-735-4055",
"MailingAddressFaxNumber": "877-546-3659",
"FirstLinePracticeLocationAddress": "15301 W 87TH ST",
"SecondLinePracticeLocationAddress": "SUITE B20",
"PracticeLocationAddressCityName": "LENEXA",
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"PracticeLocationAddressPostalCode": "66219-1401",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "913-735-4055",
"PracticeLocationAddressFaxNumber": "877-546-3659",
"EnumerationDate": "10/22/2015",
"LastUpdateDate": "10/22/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THOMPSON",
"AuthorizedOfficialFirstName": "ERIC",
"AuthorizedOfficialMiddleName": "JAMES",
"AuthorizedOfficialTitle": "PRESIDENT/C.E.O",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "913-735-4055",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "01-05677",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}